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DOMESTIC BUILDER NLIMITED) REFEREE This report must be (Department of Infrastructure, Transport, Cities and Regional Development)

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1/6
TECHNICAL
REFEREE
REPORT
DOMESTIC BUILDER
(U
NLIMITED)
This report must be completed by the referee and accompanies the Domestic Builder (Unlimited)
r
egistration application form.
To be a referee you should be a registered Domestic Builder (Unlimited). You must have directly
supervised the applicant carrying out the work listed in the reference.
Use this form to tell us about domestic building work that the applicant carried out under your supervision.
The VBA uses your referee report to help determine whether an applicant should be registered as a
building practitioner. We may contact you to confirm the information in this reference.
PART A
ABOUT YOU (THE TECHNICAL REFEREE)
Title:
☐
Mr
☐ Mrs
☐
Ms
☐
Miss
☐
Other_____________________________
First name
Middle name
Surname
Date of birth
/ /
Your contact number
If you are not a registered building practitioner, were you the applicant’s:
☐
Site supervisor
☐
Construction manager
Your email address
PART B
EMPLOYER DETAILS
Name of company that employed the applicant during supervision period
ABN
Address
Street no. and name
Suburb
State
Postcode
Employer contact number
Employer email address
2/6
SD
Do
mestic Builder (Unlimited) – Technical Referee Report
SD-TRR-052 V1.1
PART C
APPLICANT DETAILS (FOR WHOM YOU ARE PROVIDING THIS REPORT)
First name
Surname
PART D
EXPERIENCE
Supervised building experience
(for up to three projects)
Please complete detail for the applicant’s domestic building project experience that you supervised.
Applicant’s role
(e.g. Project manager, Supervisor,
Subcontractor, or other)
Period of supervision: From – To (mm/yyyy)
Project site address
From
To
Project 1
Project 2
Project 3
0BExplanation of terms
Please indicate the components of building work relevant to Domestic Builder Unlimited that the applicant either assisted,
carried out or managed under your supervision (may be one project only).
Did the applicant assist, or manage any of the following components of building work per project?
Component of
building work
Project 1 Project 2 Project 3
Assisted
Managed
Assisted
Managed
Assisted
Managed
Preliminary
Area of Experience (AoE) 1 - Apply for a building permit for the work
Determined requirement for building permit
☐ ☐ ☐ ☐ ☐ ☐
Obtained building permit/approvals
from other authorities
☐ ☐ ☐ ☐ ☐ ☐
Continue over page
Assisted
Is when the applicant has assisted a competent and qualified practitioner in the carrying out of a
particular component of building work.
Carried out
T
he actual hands-on carrying out of building work. It refers to when the applicant has been solely
responsible for that component of building work.
Managed
The management of building work. It refers to when the applicant was not involved in the actual carrying
out of that component other than engaging a competent practitioner to do so
; however, they as the
manager/supervisor
were responsible for the quality and compliance of that component of work.
/ - /
/ - /
/ - /
3/6
SD
Do
mestic Builder (Unlimited) – Technical Referee Report
SD-TRR-052 V1.1
Did the applicant assist or manage any of the following components of building work per project?
Component of
building work
Project 1 Project 2 Project 3
Assisted
Managed
Assisted
Managed
Assisted
Managed
Preliminary work
Area of Experience (AoE) 2 - Apply for a building permit for the work
Prepared contracts for the building work
☐ ☐ ☐ ☐ ☐ ☐
Administered appropriate contracts for the building
project
☐ ☐ ☐ ☐ ☐ ☐
Managed contract variations and defects
☐ ☐ ☐ ☐ ☐ ☐
Arranged/attended mandatory inspections
☐ ☐ ☐ ☐ ☐ ☐
Completed handover including certificates of compliance
☐ ☐ ☐ ☐ ☐ ☐
Managed the building work from start to finish
☐ ☐ ☐ ☐ ☐ ☐
Area of Experience (AoE) 3 - Produce cost estimates and apply business financial management skills
Conducted business and financial aspects for projects
☐ ☐ ☐ ☐ ☐ ☐
Prepared cost estimates and quotations
☐ ☐ ☐ ☐ ☐ ☐
Area of Experience (AoE) 4 - Co-ordinate onsite construction works
Site supervision
Developed and monitored progress schedules for the
work
☐ ☐ ☐ ☐ ☐ ☐
Provided on-site day to day supervision of the project
☐ ☐ ☐ ☐ ☐ ☐
Supervised subcontractors/trades to ensure work is
conducted safely & to standard
☐ ☐ ☐ ☐ ☐ ☐
Area of Experience (AoE) 5 - Ensure works are planned and conducted safely
Managed site safety throughout the project
☐ ☐ ☐ ☐ ☐ ☐
Did the applicant assist, carry out, or manage any of the following components of building work per project?
Component of
building
Project 1 Project 2 Project 3
Assisted
Carried
out
Managed
Assisted
Carried
out
Managed
Assisted
Carried
out
Managed
Pre-base work
Area of Experience (AoE) 6 - Domestic Building work that the applicant carried out
Interpreted architectural plans, drawings and
specifications
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Interpreted engineering designs, plans, drawings
and specifications
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
4/6
SD
Do
mestic Builder (Unlimited) – Technical Referee Report
SD-TRR-052 V1.1
Did the applicant assist, carry out, or manage any of the following components of building work per project?
Component of
building
Project 1 Project 2 Project 3
Assisted
Carried
out
Managed
Assisted
Carried
out
Managed
Assisted
Carried
out
Managed
Pre-base work continued
Area of Experience (AoE) 6 – cont. Domestic Building work that the applicant carried out
Carried out excavation work
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Established the construction site
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Provided protection works for the adjoining
property
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Undertook demolition work
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Arranged services (power/sewer/stormwater/
gas/telecoms)
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Set out the site for construction work
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Excavation/site levelling
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Base work
Constructed retaining walls
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Constructed stump and pad footing systems
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Constructed concrete raft slabs
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Constructed concrete waffle pod slabs
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Installed bored piers
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Installed screw piles
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Constructed strip footings
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Constructed formwork for concrete slabs
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Constructed steel reinforcements
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Installed damp-proofing
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Installed termite protection
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Frame
Constructed sub-floor framing
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
5/6
SD
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mestic Builder (Unlimited) – Technical Referee Report
SD-TRR-052 V1.1
Did the applicant assist, carry out, or manage any of the following components of building work per project?
Component of
building
Project 1 Project 2 Project 3
Assisted
Carried
out
Managed
Assisted
Carried
out
Managed
Assisted
Carried
out
Managed
Area of Experience (AoE) 6 – cont. Domestic Building work that the applicant carried out
Constructed wall framing - stick build
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Constructed wall framing - prefabricated
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Framework continued
Constructed roof framing – stick build
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Constructed roof framing – prefabricated truss
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Selected and installed bracings/fixings
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Constructed fire rated party walls
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Lock-up work
Constructed brickwork/brick cladding
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Installed roof tiles
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Installed roof sheeting
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Installed insulation
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Internal/ external lock-up and services rough-in
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Fix work
Selected and installed waterproofing
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Cabinet and joinery
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Installed tiling - wall and floor
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Completed fixing - architraves/skirting/doors/
hardware
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Completed fitoffs -
bathroom/kitchen/heating and
cooling
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Other work
Constructed decks with sub-floor framing
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Constructed fences and gates
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Constructed swimming pools
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
6/6
SD
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mestic Builder (Unlimited) – Technical Referee Report
End of form
Did the applicant assist, carry out, or manage any of the following components of building work per project?
Component of
building
Project 1 Project 2 Project 3
Assisted
Carried
out
Managed
Assisted
Carried
out
Managed
Assisted
Carried
out
Managed
Other
Area of Experience (AoE) 6 – cont. Domestic Building work that the applicant carried out
Landscaping works - including structural
landscaping work
☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
PART E
REFEREE DECLARATION
The information provided in this form must be true and correct. It is an offence under section 246
of the Building Act 1993 to give false or misleading information in relation to an application for
registration, and this offence carries a maximum penalty of 120 penalty units.
To see how the VBA uses and discloses your personal information click here to view the full VBA Privacy Policy.
☐
I declare that the information contained in this form is true and correct to the best of my knowledge.
☐
I understand that the VBA may make enquiries to verify the information I have provided, and I consent for this
information to be shared with any other third party for that purpose.
Referee name
Referee signature:
Date of signature:
/ /
(must be handwritten)
✔
✔
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Completed 1 October 2020

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